<style>
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height:60px; border:#dd95cf solid 3px; padding:6px; margin-top:30px; margin-right:20px; width:460px; float:left;
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height:60px; border:#dd95cf solid 3px; padding:6px; margin-top:10px; margin-right:20px; width:460px; float:left;
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.nasty {
float:left; height:60px; margin-top:30px; margin-right:20px; padding-top:15px
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float:left; height:60px; margin-top:10px; margin-right:20px; padding-top:15px
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<script type="text/javascript">
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<body>
<div align="center" style="height:300px;">
<div style="float:left"><img src="images/supporto-online.jpg" alt="Hai bisogno d'aiuto?" /></div>	
<div style="float:right; width:320px; height:415px; padding:25px 25px 20px 25px; text-align:justify; font-size:.9em; background:url(../../images/element/bg-form-supporto.png) top left no-repeat; color:#FFFFFF;"><h2>Form di supporto</h2>

<form action="http://www.escortfashion.com/formtools/process.php" method="post">

<input type="hidden" name="form_tools_form_id" value="2" />
 <table width="100%" border="0" style="color:#FFFFFF; font-size:12px;">
  <tr>
    <td colspan="3"><img src="../../images/1.gif" width="5" height="3"></td>
    </tr>
  <tr>
    <td>Nome: </td>
    <td>&nbsp;</td>
    <td><input name="Nome" type="text"></td>
  </tr>
  <tr>
    <td colspan="3"><img src="../../images/1.gif" width="5" height="3"></td>
    </tr>
  <tr>
    <td>Email: </td>
    <td>&nbsp;</td>
    <td><input name="Email" type="text"></td>
  </tr>
  <tr>
    <td colspan="3"><img src="../../images/1.gif" width="5" height="3"></td>
    </tr>
  <tr>
    <td>Telefono: </td>
    <td>&nbsp;</td>
    <td><input name="Telefono" type="text"></td>
  </tr>
  <tr>
    <td colspan="3"><img src="../../images/1.gif" width="5" height="3"></td>
    </tr>
  <tr>
    <td>Problema: </td>
    <td>&nbsp;</td>
    <td><select name="Tipo richiesta">
      <option>Seleziona...</option>
      <option>Problema registrazione</option>
      <option>Problema caricamento foto</option>
      <option>Problemi creazione annuncio</option>
      <option>Visualizzazione annunci</option>
      <option>Info costi</option>
      <option>Altro</option>
    </select></td>
  </tr>
  <tr>
    <td colspan="3"><img src="../../images/1.gif" width="5" height="3"></td>
    </tr>
  <tr>
    <td>Messaggio:</td>
    <td>&nbsp;</td>
    <td><textarea name="Commento" rows="5" style="width: 187px"></textarea></td>
  </tr>
  <tr>
    <td colspan="3"><img src="../../images/1.gif" width="5" height="10"></td>
    </tr>
  <tr>
    <td colspan="3"><div align="center">
      <input type="submit" name="" value="Invia segnalazione" />
    </div></td>
    </tr>
</table>
</form>

  </div>
</div>
<p align="justify">Per qualsiasi problema compila il form di supporto, verrai immediatamente ricontattato dai nostri tecnici che provvederanno a darti supporto.</p>
<div><br class="clearfloat" />
</div>
<br class="clearfloat" />
<div style="margin-top:30px"><img src="images/element/separator.png" alt="" /></div>